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General NPI Number Information
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NPI Number | 1093090797
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Entity Type | Organization
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Legal Business Name | COMPASS HOMECARE LLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 3204 PLAINS CT
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City | PLANO
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State | TX
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Zip | 75074-2816
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Country | US
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Telephone | 214-906-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 PLAINS CT
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City | PLANO
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State | TX
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Zip | 75074-2816
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Country | US
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Telephone | 214-906-5963
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BONNIE WOLF
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Credential | CNA
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Telephone | 214-906-5963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 376K00000X
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License Number State | TX
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